Smoking Cessation: The Role of the Anesthesiologist

Amir Yousefzadeh, Frances Chung, David T. Wong, David Oman Warner, Jean Wong

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Smoking increases the risk of postoperative morbidity and mortality. Smoking cessation before surgery reduces the risk of complications. The perioperative period may be a "teachable moment" for smoking cessation and provides smokers an opportunity to engage in long-term smoking cessation. Anesthesiologists as the perioperative physicians are well-positioned to take the lead in this area and improve not only short-term surgical outcomes but also long-term health outcomes and costs. Preoperative interventions for tobacco use are effective to reduce postoperative complications and increase the likelihood of long-term abstinence. If intensive interventions (counseling, pharmacotherapy, and follow-up) are impractical, brief interventions should be implemented in preoperative clinics as a routine practice. The "Ask, Advise, Connect" is a practical strategy to be incorporated in the surgical setting. All anesthesiologists should ask their patients about smoking and strongly advise smokers to quit at every visit. Directly connecting patients to existing counseling resources, such as telephone quitlines, family physicians, or pharmacists using fax or electronic referrals, greatly increases the reach and the impact of the intervention.

Original languageEnglish (US)
Pages (from-to)1311-1320
Number of pages10
JournalAnesthesia and Analgesia
Volume122
Issue number5
DOIs
StatePublished - May 1 2016

Fingerprint

Smoking Cessation
Counseling
Smoking
Telefacsimile
Perioperative Period
Family Physicians
Tobacco Use
Pharmacists
Telephone
Health Care Costs
Referral and Consultation
Morbidity
Physicians
Drug Therapy
Mortality
Anesthesiologists

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Smoking Cessation : The Role of the Anesthesiologist. / Yousefzadeh, Amir; Chung, Frances; Wong, David T.; Warner, David Oman; Wong, Jean.

In: Anesthesia and Analgesia, Vol. 122, No. 5, 01.05.2016, p. 1311-1320.

Research output: Contribution to journalArticle

Yousefzadeh, A, Chung, F, Wong, DT, Warner, DO & Wong, J 2016, 'Smoking Cessation: The Role of the Anesthesiologist', Anesthesia and Analgesia, vol. 122, no. 5, pp. 1311-1320. https://doi.org/10.1213/ANE.0000000000001170
Yousefzadeh, Amir ; Chung, Frances ; Wong, David T. ; Warner, David Oman ; Wong, Jean. / Smoking Cessation : The Role of the Anesthesiologist. In: Anesthesia and Analgesia. 2016 ; Vol. 122, No. 5. pp. 1311-1320.
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